Improving communication between nurses and parents

Objective To explore the effects of family-centered transition management scheme in pediatric intensive care unit. Methods A transition management group was founded. According to Pediatric Critical Illness Score (PCIS) , PICU discharge criteria was unified. Then, two sets of transition management scheme were developed according to the scoring results. A SBAR communication record form was designed for the structural shift by the transitional care nurses. At last, family-centered of diversified education were applied. After the implementation of the scheme from November 2016 to April 2017, a total of 75 children and 75 parents were recruited as experimental group, while from May to October 2016, before the implementation of the scheme, 68 children and 68 parents were recruited as control group. The two groups were compared with the incidence of re-admission to PICU, hospitalization time, nursing adverse events, family uncertainty and satisfaction rate on nursing service. Results The rate of re-admission to PICU, total hospitalization time, the rate of adverse events and the scores of parent's perception uncertainty scale-family in the experimental group were significant lower than those in the control group, and the differences were statistically significant (P<0.05) . The satisfaction rate on nursing service in the experimental group was significant higher than that in the control group (P<0.05) . Conclusions Family-centered transition management scheme is conducive to the improvement nursing quality for PICU children and their family and the promotion of patient safety. Key words: Child; Intensive Care Unit; Family-centered; Transition management

Objective To learn the information about the parents＇ knowledge and inquiry to the nursing participating of the consultant. Methods One hundred and twenty cases of parents were investigated with the self-designed questionnaire. The rates of grade data was accomplished with statistical analysis. Results Knowledge of consultant ： 82.5 percent cases parents knew their right of consultant provided by the hospital. 70.32 percent of parents were satisfied with the nursing consultant for them. Parents of different ages had different ideas about the consultant contents and ranges provided by the doctors and nurses （P 〈 0. 01 ）. Styles of consulting： 67.5 percent of parents wanted to be consulted in prior. 53.33 percent wanted to be consulted at the suitable situation and be informed part of the contents. 78.53 percent wanted to be informed by the nurse in charge of the children. Lines of the consulting contents ： the former three ones are as followings, staff of the department, environment, rules and discipline ; kinds of the diet ; function of the medication, purposes of the tests, items to be care about. Conclusions Parents agreed with the nursing consulting in the practice of medical affairs. More sufficient nursing consultants were needed. Consultant was the basic insure of their informed consents. Key words: Parents ; Nurse ; Nursing consultant

Objective To describe the understanding level of disease of children with leukemia and their ways of obtaining disease information in order to help nurses and parents to select appropriate content and manners to communicate with children about disease information.Methods In-depth interviews were conducted with 25 children' parents using a descriptive qualitative research method,and the data were analyzed using content analysis.Results Children during remission stage of leukemia had different understanding levels of their disease.Ways of children with leukemia to obtain disease information was correlated with their mental maturity.Conclusions Disease information should be told according to children's age,disease course and level of thinking,and health professionals and parents could provide appropilate ways of obtaining information for children on basis of their mental maturity. Key words: Leukemia; Remission stage; Children; Disease information; Qualitative study

Objective To realize the long-term distribution mechanism of nursing staff in Pediatric Intensive Care Unit (PICU) , which was characterized by more work more reward, fairness, rationality and transparency. Methods Totally 40 registered nurses working in Pediatric Intensive Care Unit (PICU) of Kunming Children's Hospital were studied. The nursing post performance distribution scheme was implemented since March 2017. The period of October 2016 to February 2017 was taken as the period before implementation, from March to September 2017 was the period after implementation, and a comparative study was conducted to compare the two periods in terms of the passing rate of nursing quality assessment and satisfaction. Results After the implementation of the distribution scheme, all the indicators of nursing quality in the departments were improved, and there were statistically significant differences compared with those before implementation (P<0.05) ; parents' satisfaction with nurses, doctors' satisfaction with nurses, nurses' performance, nurses' job satisfaction and nurses' satisfaction with colleagues were all improved, and there were statistically significant differences compared with those before implementation (P<0.05) . Conclusions In PICU, nursing post performance distribution scheme is conducive to improving the quality of nursing and the nurses' satisfaction. Key words: Intensive Care Unit, Pediatric; Nursing administration research; Performance distribution; Post management

The premature infant in neonatal intensive care unit (NICU) is the pressure source of their parents. Parents' emotional problems have a profound impact on the growth, development and mental health of their infants. Positive and effective pressure care can help parents relieve stress, establish parent-child relationship and successful complete the role transiting. The focus of NICU nursing care should be expanded to holistic nursing for the children and their parents. In this paper, the pressure nursing measures for premature infant's parents will be summarized. Key words: Review; Infant, premature; Pressure; Nursing; Neonatal intensive care unit; Parents

Objective To investigate the ability of nurse-patient communication and Self-efficacy between baccalaureate and associate nursing students, and provide instruction for fostering the nurses' positive ability of nurse-patient communication and Self-efficacy. Methods Thirty baccalaureate nursing students from Grade 2005 and 30 associate nursing students from Grade 2006 in the nursing school of Mudanjiang Medical College were selected by random sampling and were investigated with the ability nurse-patient communication Scale by XuYaHong and General Self-Efficacy Scale by Ralf scchwarzer. Results The total level of nursepatient communication ability was medium or above that. There was significantly different in the ability of nursepatient communication between nurses with different educational level in terms of the total scores of nurse-patient communication, scores of coffering information and understanding patients, those in baccalaureate nursing students were higher than those in associate nursing students. Conclusions The clinicle teacher must take implemation to cultivate the ability of nurse-patient communication during the clinical practice. The result suggests that teachers should build the students' positive self-efficacy to improve their nurse-patient communication, ability. Key words: Students; Nursing; Communication; Nursc-Patient Relations; Self-efficacy; Questionnaires

Objective To explore innovative teaching mode of cultivating the communicated ability of undergraduate nursing students based on standardized patients and then evaluate its effect. Methods To select 2 classes of sophomore randomly, four-year nursing undergraduate enrolling in 2012, was divided into the experimental group and the control group. Experimental group used standardized patients as carrier of skills and control group took dummy patient as carrier of skills lasting for one academic year. Assessed by others and self-assessment was used to evaluate the communicated ability of nursing students at end of the course respectively. Results There was statistical significance between two groups in the score of communicated ability, 94.39±8.18 vs 87.04±6.56,t=4.61,P < 0.01. Teachers for clinical communication ability of nursing students and standardized patients for skills and clinical communication ability of nursing students were more satisfied with experimental group, the satisfactory rate in the experimental group was 63%(26/41), 37%(15/41) and 56%(23/41) respectively, which were higher than those in the control group [24%(11/45), 22%(10/45) and 22%(10/45)],P< 0.01. Conclusion It is helpful for increasing communicated ability of nursing students taking standardized patients as practice objects which could be as a reference for building teaching system of nursing students in communication. Key words: Students nursing; Standardized patients; Ability of communication; Nursing skill

Objective To explore preoperative anxiety among parents of children with congenital heart disease (CHD) and its influencing factors in order to provide evidence to health education and nursing care. Methods A total of 144 parents of children with CHD were investigated by using STAI and self-designed influencing factors questionnaire and their SAI scores and TAJ scores were observed. Results The SAI scores of these parents were obviously higher than national norm. Mothers from 20 to 30 years old had the highest score of SAI. There was a negative correlation between mothers' SAI scores and their ages but there were no significant differences in SAI scores of parents with different educational background and different occupations. Conclusions The parents of children with CHD are suffered from anxiety. Nurses should comprehensively assess the background information and other influencing factors and provide preoperative nursing measure for parents of children with CHD. Key words: Congenital heart disease; Children; Relationships; Anxiety; Nursing

Background This dissertation attempts to assess Malaysia’s readiness to tackle the challenges associated with the provision and financing of long term care services brought about by rapid population ageing. This is done by conducting research on a sample of individual respondents and a number of care institutions from Selangor and Kuala Lumpur. The research objectives are (1) to investigate if there is appropriate placement of elderly Malaysians in nursing homes, care centres and at home; (2) to determine if the nursing home and care centre services provided meet the minimum requirements set by the authorities; and (3) to find out if elderly Malaysians who need long-term care are able to finance their long-term care needs in a sustainable manner and to gain an understanding of the payment options available for long-term care services. Methodology Quantitative methods were used for hypothesis testing and statistical analysis, while qualitative methods were used to study the subjective experience of long-term care services provided in nursing homes, care centres or at home, and whether participants had sufficient money to pay for long-term care services. 419 participants were interviewed. Of these 419 participants, 154 were residents of nursing homes and 154 were provided with services from care centres. 111 were staying at home. The number of nursing homes and care centres assessed were 9 and 3 respectively. Results The results for research objective 1 reveal that there is inappropriate placement in relation to the actual level of care needed by elderly Malaysians in Selangor and Kuala Lumpur. Elderly persons in nursing homes and care centres have median Barthel Index scores of 35 whilst elderly living at home have a median Barthel Index score of 50. The Kruskal-Wallis H test is used to determine if there are any significant differences in the scores across the three types of care placements. There is a statistically significant difference between the Barthel Index scores of the elderly participants across the three types of placements (H(2) = 17.20, p < .001), with a mean rank of 204.44 for those in nursing homes, 187.48 for those in care centres, and 248.95 for those in home care. There is a significant difference in the Barthel Index scores between those placed in care centres (M = 36.14) and those in home care (M = 51.35) at the p

Study Background: Nurse–patient cultural communication is of paramount significance in countries with substantial expatriate nursing workforces, such as Saudi Arabia. Saudi Arabian hospitals are mostly staffed by foreign nurses, who constitute 73.4% of the total population of registered nurses (Ministry of Health, 2014). Aim of the Study: The purpose of this study was to explore the cultural communication barriers between non-Saudi nurses and Saudi patients when performing patient health care. Study Design: The study adopted a quantitative descriptive survey design. A convenience sampling technique was used to recruit a population of surgical nurses (n = 93) working in wards at a tertiary health care centre in Riyadh, Saudi Arabia. Descriptive statistics and non-parametric analysis (Mann-Whitney U tests) were used to analyse survey data. Results: Unfamiliarity with language or dialect and generational gap scores represented the highest cultural communication barriers, followed by other significant results that included gender difference and nurses’ burnout. Lack of continuous communication skills training and Arabic language also had an impact. Cultural communication competence was influenced by respondents not understanding the Saudi culture. Recommendations: Developing appropriate cultural communication between expatriate nurses and Saudi patients entails grasping Saudi sociocultural parameters. It is paramount that expatriate nurses intending to work in Saudi Arabia are professionally educated about Islamic Arabic cultural beliefs and communication methods. It is further suggested that Saudi patients’ perspectives on cultural obstacles in communicating with foreign nurses be explored.

Purpose: The aim of this study was to examine the factors that affect nurses' communication. Methods: This study employed a descriptive survey design. The sample of this study consisted of 174 nurses at hospital in Korea from June 1st to 18th, 2009. The data were analyzed SPSS/WIN 17.0 program and factors affecting nurses' communication were analyzed by multiple regression. Results: 1) Level of nurses' communication was average of 3.44, ego strength 0.36, self-image 3.53, ego distribution 2.92, interpersonal relations 3.52, and family function 3.39. 2) Nurses' communication had significant positive correlation with interpersonal relations, self-image, family function, and ego strength. On the other hand, it had not significant correlation with ego distribution. 3) Interpersonal relations (t=9.68, p=.418, p

Objective To summarize the establishment and preliminary practice efficacy of the network in prenatal diagnosis, perinatal management and monitor of congenital malformation. Methods The network consists two parts: one is the center of prenatal diagnosis and delivery, the other is the center of neonatal treatment and follow-up. The two centers keep in cooperation and exchange experiences to realize the function of the network. Results Parents were consulted in the clinics of neonatal surgery once malformation had been detected by ultrasonograghy. And treatment regimen was planned according to suggestions from pediatric surgeons, obstetricians and doctors of ultrasound. After delivery, the newborns will be transferred to children hospital by ambulance equipped by transfer facility specially for newborns or regular ambulance, or followed up. After evaluation, the baby would be operated on in emergency, select procedure or observed. Two hundreds and twenty eight cases of malformation diagnosed prenatally were treated in our hospitals from Mar. 2003 to Dec. 2007. Nineteen eases were terminated in the second trimester. Four left without any management after birth. Among 56 neonates who underwent operation, 51 recovered and 5 refused further treatment. One hundred and forty nine cases received expective management during the pregnancy and followed up after delivery. Conclusions The establishment of the network in prenatal diagnosis, perinatal management and monitoring for congenital malformation is practical and matched with the current situation in the country. It may be helpful for improving the quality of perinatal management, total diagnosis and treatment of the congenital malformations in China. Key words: Congenital abnormalities, Prenatal diagnosis, Neonatal nursing; Computer communication networks; Follow-up studies

This study compared 120 Chinese immigrant parents and 127 non-Chinese parents from New Zealand preschools on their level of involvement in preschool-based activities, as well as key predictors of parental involvement. Results showed that Chinese immigrant parents had a lower level of involvement than non-Chinese parents across three forms of involvement including communication with teachers, volunteering to help at the preschool, and participation in the preschool's decision making. For the entire sample, parental role construction and parenting self-efficacy were predictors of all three forms of involvement, and perceived opportunity for involvement was predictor of communication with teachers. For the Chinese immigrant sample, perceived opportunity for involvement predicted communication with teachers and participation in the preschool's decision making, and educational qualification predicted communication with teachers. The findings highlight the role of parents' motivational beliefs in parental involvement, in particular, the importance of teacher invitations for parental involvement among Chinese immigrant parents.International Research in Early Childhood Education, vol. 5, no. 1, p. 64-82

Effective familial communication regarding adolescent sexual health is recurrently identified as an important protective factor against high-risk sexual behavior, and is considered a valuable and necessary component of prevention. This is especially true for Latino adolescents who are disproportionately affected by unintended pregnancies and sexually transmitted infections, and for whom family-based interventions are the most efficacious. Unfortunately, sexual risk prevention research has generally excluded the role of culture in the design and implementation of sexual health interventions. This critical omission has generated interventions that conceivably lack cultural sensitivity, and run the risk of failure if their design contradicts the cultural beliefs and values of the targeted population. The purpose of this study was to investigate, among demographically comparable samples of Mexican-American parents, potential barriers to sexual health and safety communication that may be associated with cultural norms, beliefs and values. Its first objective was to examine the extent to which commonly held cultural values and beliefs influenced sexual health predictors and dialogue between Latino parents and their children. This study's second objective was to explore the mediating role of acculturation across each of the sexual communication outcomes. The third and final objective was to examine how these outcomes were distinctly affected by parent and child gender. Seventy-seven women and twenty men of Mexican-origin (total N = 97), parenting a child between 5 and 14 years of age and living in Boulder, Colorado, participated in the present study. They represented three generational levels of Mexicans and Mexican-Americans from varying socioeconomic statuses and representing both sexes. Key findings indicated that the endorsement of four traditional Latino cultural beliefs and values were moderately associated with factors that predict sexual health communication among Mexican-origin families. General family communication emerged as the heart of the model, denoting the most significantly influenced sexual communication predictive variable for both the mothers and fathers in the sample. The traditional Latino gender roles ascribed to men and women of Latino-origin (machismo and marianismo), were both negatively associated with effectual family communication, as was respeto, which embodies the expectation that children are respectful, obedient, and loyal to their family. Also, the findings suggest that parents who endorse fatalism hold more negative views of potential outcomes associated with familial discussions about sexual health and safety. The influence of Latino cultural beliefs and attitudes on factors that predict sexual communication was not mediated by acculturative status, as hypothesized in the present study, although the findings demonstrated that acculturation independently predicted sexual communication frequency between mothers and their adolescents. Factors that influence familial sexual communication are malleable and can be modified with the support of an effective intervention strategy. Understanding empirically how culture influences factors that predict adolescent sexual risk, as demonstrated in this research, will contribute to the development of strategies that are culturally relevant.

This study aims to determine (1) the tendency of students communication skills, attention to parents and learning achievements of natural science students of SMP Negeri 10 Umbulharjo District of Yogyakarta; and (2) there is a positive and significant relationship between students communication skills and attention of parents with learning achievement either independently or together. This research ex post facto quantitative certain model implemented in SMP Negeri 10 District of Umbulharjo Yogyakarta, this study bersampel 167 students. The results showed that (1) the tendency of each - each independent variable in the high category and science learning achievement in the category of very high; (2) the relationship between each - each variable with learning achievement seen from the students' communication skills sig 0.009 F table = 3.05 with a significance of 5%. So that the students' communication skills and attention of parents have a relationship to improve learning achievement IPA class VIII SMP Negeri 10 districts of Umbulharjo Yogyakarta. The relative contribution on students' communication skills amount 20.34% and the attention of parents amount 79.66%. While effective contribution on communication skills of students amount 2.3% and the attention of parents amount 6.4%. Thus to improve learning achievement IPA it is necessary pay attention to students' communication skills and attention from the parents of students.